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  1. Article: Palatal approach of anterior superior alveolar injection technique may not be potentially useful in periodontal procedures.

    Bhat, Pragathi Raghavendra / Acharya, Anirudh Balakrishna / Thakur, Srinath Lakshman

    Journal of Indian Society of Periodontology

    2017  Volume 20, Issue 5, Page(s) 557–560

    Abstract: Background: The palatal approach of anterior superior alveolar (P-ASA) using WAND injection was reported to effectively provide a profound bilateral maxillary anesthesia of the soft tissue of anterior one-third of the palate and facial gingivae ... ...

    Abstract Background: The palatal approach of anterior superior alveolar (P-ASA) using WAND injection was reported to effectively provide a profound bilateral maxillary anesthesia of the soft tissue of anterior one-third of the palate and facial gingivae extending from canine to canine which lasted for more than an hour thus making it ideal for scaling root planing and minor periodontal procedures in the anterior maxilla. Our study suggests that the conventional P-ASA injection is of very short duration and the extent of anesthesia was not profound and consistent. This has not been reported earlier in the literature.
    Materials and methods: Thirty-five cases (20 males and 15 females), who underwent scaling, root planing and minor periodontal surgical procedures such as abscess drainage, gingivectomy, and frenectomy in the maxillary anterior region in the age range of 19-45 years was assessed for the efficacy of the P-ASA injection. After the administration of the P-ASA injection, the subjective and the objective symptoms were used to evaluate the extent and duration of the anesthesia at 10, 15, and 20 min.
    Results: This study suggests that the conventional P-ASA injection technique does not provide anesthesia for more than 20 min. Wilcoxon matched pairs test was used to compare the effect of anesthesia at the different time intervals and the results were found to be statistically significant (
    Conclusions: The conventional P-ASA injection technique is of very short duration and does not demonstrate effectiveness in periodontal surgery of the anterior maxilla.
    Language English
    Publishing date 2017-04-06
    Publishing country India
    Document type Journal Article
    ZDB-ID 2545458-4
    ISSN 0975-1580 ; 0972-124X
    ISSN (online) 0975-1580
    ISSN 0972-124X
    DOI 10.4103/0972-124X.201692
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A novel clinical protocol for the greater palatine compression suture: A case report.

    Kulkarni, Mihir Raghavendra / Shettar, Leena Gangadhar / Bakshi, Purva Vijay / Thakur, Srinath Lakshman

    Journal of Indian Society of Periodontology

    2018  Volume 22, Issue 5, Page(s) 456–458

    Abstract: Bleeding from the palatal donor site is a worrisome complication of palatal soft tissue harvesting procedures and leads to considerable stress to both the patient and the surgeon. Several methods to control palatal hemorrhage have been suggested in ... ...

    Abstract Bleeding from the palatal donor site is a worrisome complication of palatal soft tissue harvesting procedures and leads to considerable stress to both the patient and the surgeon. Several methods to control palatal hemorrhage have been suggested in literature, including a palatal suture, but a precise protocol has not been suggested. The present case report aims to suggest a protocol for the greater palatine compression suture (GPCS). Five patients who experienced profuse bleeding from the palatal free gingival graft donor site were treated with the GPCS. The palatal midline was used as a landmark and the location of the greater palatine foramen was estimated. The suture was placed anterior to the estimated location of the foramen and was passed deep into the palatal tissue with the aim of looping and compressing the vascular bundle. In all the patients, an immediate reduction and arrest of bleeding from the palatal wound was observed with blanching of the soft tissues around the suture. The proposed technique is a predictable method to control palatal hemorrhage and can be used if other less invasive techniques fail to stem the blood flow from an injured palatal vessel.
    Language English
    Publishing date 2018-09-06
    Publishing country India
    Document type Case Reports
    ZDB-ID 2545458-4
    ISSN 0975-1580 ; 0972-124X
    ISSN (online) 0975-1580
    ISSN 0972-124X
    DOI 10.4103/jisp.jisp_140_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The influence of soft tissue biotype on the marginal bone changes around dental implants: A 1-year prospective clinico-radiological study.

    Bhat, Pragathi Raghavendra / Thakur, Srinath Lakshman / Kulkarni, Sudhindra Sushilendra

    Journal of Indian Society of Periodontology

    2016  Volume 19, Issue 6, Page(s) 640–644

    Abstract: Background: The peri-implant mucosa undergoes surgical and bacterial assaults in various stages of implant therapy, however, the literature on changes occurring in the peri-implant mucosa is minimal. This study was thus conducted to evaluate the change ... ...

    Abstract Background: The peri-implant mucosa undergoes surgical and bacterial assaults in various stages of implant therapy, however, the literature on changes occurring in the peri-implant mucosa is minimal. This study was thus conducted to evaluate the change in the peri-implant mucosal thickness and its effect on the marginal bone levels around dental implants treated in a conventional two-stage implant therapy.
    Materials and methods: A total of 36 implants were placed in 22 subjects. Two subjects dropped out. Thirty-three implants in 20 subjects were then evaluated. Initial mucosal thickness, marginal bone levels on radiographs, pain, and exudation were evaluated. All these parameters were recorded at the time of implant placement, at the time of cementation of final restoration, 6 months and 12 months post cementation/restoration.
    Results: The peri-implant mucosal thickness reduced from implant placement to second stage and till restorations and was statistically significant, in both the thick and thin biotypes, however, at 12 months there was a rebound of the tissue thickness, which was more in the thick biotype (P < 0.05). At 1-year follow-up, there was a reduction in the marginal bone levels, which was more in the thick biotype as compared to the thin biotype (P < 0.05).
    Conclusion: The mucosa at implant sites undergoes a reduction in thickness from the time of implant placement till the placement of final restorations. The placement of the final restorations and then end of active therapy leads to a rebound of the tissue thickness. Sites with thicker tissues preoperatively have a lesser bone loss and better rebound as compared to thinner tissues.
    Language English
    Publishing date 2016-02-01
    Publishing country India
    Document type Journal Article
    ZDB-ID 2545458-4
    ISSN 0975-1580 ; 0972-124X
    ISSN (online) 0975-1580
    ISSN 0972-124X
    DOI 10.4103/0972-124X.168489
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Public awareness, knowledge, attitude and acceptance of dental implants as a treatment modality among patients visiting SDM College of Dental Sciences and Hospital, Dharwad.

    Siddique, Emaan Ahmed / Bhat, Pragathi Raghavendra / Kulkarni, Sudhindra Sushilendra / Trasad, Vijay Ashok / Thakur, Srinath Lakshman

    Journal of Indian Society of Periodontology

    2019  Volume 23, Issue 1, Page(s) 58–63

    Abstract: Background: The use of dental implants as a prosthetic treatment modality for partially edentulous or completely edentulous patients is increased more commonly ever since the concept of osseointegration has been accepted.: Objective: The objective of ...

    Abstract Background: The use of dental implants as a prosthetic treatment modality for partially edentulous or completely edentulous patients is increased more commonly ever since the concept of osseointegration has been accepted.
    Objective: The objective of this study is to assess the awareness, knowledge, attitude, and acceptance of dental implants as a treatment modality among patients visiting SDM Dental College, Dharwad.
    Materials and methods: A cross-sectional survey was conducted among 500 patients visiting SDM College of Dental Sciences and Hospital (SDMCDSH), Dharwad, using a self-explanatory questionnaire.
    Results: A total of 500 individuals participated in the survey. The results of this survey indicate that 93.4% of the patients knew about dental implants, and for majority of them, the major source of information was through their dentist followed by relatives and friends and electronic media. About 60.4% patients disapproved the removable prosthesis as an option for the replacement of missing teeth. 77.2% patients expressed that they could not afford for the dental implant treatment. The major deterioration for this treatment was related to the cost in 80.4% patients, surgical procedure in 11.6% patients, and a long treatment time in 5.6% patients. While 60.4% patients felt that dental implants being expensive, is the treatment option only for the rich.
    Conclusion: The results of this survey showed that majority of the patients visiting SDMCDSH, Dharwad, were aware about dental implants as a treatment modality for the replacement of missing teeth. Although the attitude was positive and they did accept dental implants as a treatment option, the treatment cost mainly was the major reason to take a back step.
    Language English
    Publishing date 2019-01-28
    Publishing country India
    Document type Journal Article
    ZDB-ID 2545458-4
    ISSN 0975-1580 ; 0972-124X
    ISSN (online) 0975-1580
    ISSN 0972-124X
    DOI 10.4103/jisp.jisp_281_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Applications of a modified palatal roll flap in peri-implant soft-tissue augmentation - A case series.

    Kulkarni, Mihir Raghavendra / Bakshi, Purva Vijay / Kavlekar, Abhishek Somanath / Thakur, Srinath Lakshman

    Journal of Indian Society of Periodontology

    2016  Volume 21, Issue 4, Page(s) 333–336

    Abstract: Abrams's palatal roll technique has been used extensively to augment peri-implant soft tissues in the maxillary esthetic zone and has seen numerous modifications. An adaptation of the palatal roll technique is described here and its simplicity of ... ...

    Abstract Abrams's palatal roll technique has been used extensively to augment peri-implant soft tissues in the maxillary esthetic zone and has seen numerous modifications. An adaptation of the palatal roll technique is described here and its simplicity of application in three different scenarios is demonstrated. At second-stage implant surgery, a partial thickness initial incision followed by a palatal subepithelial dissection at the site of implant was done and a connective tissue graft with a buccal pedicle was obtained. The graft was rolled under the buccal flap and allowed to heal with the support of a healing abutment. The graft healed uneventfully and provided excellent contours of tissues around the implant. The procedure demonstrated good results for augmentation of a buccal ridge deficiency, for covering exposed and unsightly implant fixtures and was also done with a papilla preservation incision. In addition, a second surgical site to obtain the connective tissue graft was avoided.
    Language English
    Publishing date 2016-06-17
    Publishing country India
    Document type Case Reports
    ZDB-ID 2545458-4
    ISSN 0975-1580 ; 0972-124X
    ISSN (online) 0975-1580
    ISSN 0972-124X
    DOI 10.4103/jisp.jisp_87_17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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